IndividualActive
Mallory Walters, BCBA
NPI 1760068803 · Behavior Analyst · East Peoria, IL
Provider details
- NPI number
- 1760068803
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- License
- 1-22-59328 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
138 Field Grove Ct
East Peoria, IL 61611-4323
Phone: (713) 732-7049
Street-level locationGet directions
Mailing address
138 Field Grove Ct
East Peoria, IL 61611-4323
Additional practice locations (1)
- 9374 Olive Blvd Ste 101Olivette, MO 63132-3253Phone: (314) 932-2402
Registry dates
- Enumerated
- 2021-03-19
- Last updated
- 2024-06-07
- Certified
- 2024-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.